Provider Demographics
NPI:1508926775
Name:BEARLY, FRANKIE JO (DDS)
Entity Type:Individual
Prefix:MS
First Name:FRANKIE
Middle Name:JO
Last Name:BEARLY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 NICHOLS RD
Mailing Address - Street 2:#256
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112
Mailing Address - Country:US
Mailing Address - Phone:816-931-2342
Mailing Address - Fax:816-931-1859
Practice Address - Street 1:411 NICHOLS RD
Practice Address - Street 2:#256
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64112
Practice Address - Country:US
Practice Address - Phone:816-931-2342
Practice Address - Fax:816-931-1859
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO14083122300000X
SC84681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist